Hse Plan PT - Apk - Ifa Rev 1 N

AIM PROJECT
Civil Works, Pipe Rack

Installation And piping
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HSE MANAGEMENT PLAN
02/02/2023 Approved For

1 AFC
Construction
13/10/2022 Issued For
0 IFA
Approval
0 IFR 01/10/2022 Issued For Review
27/09/ Issued For
0 IFR AIM-HSE DPM/PM GM
2022 Review
Rev. Status Date Revision memo Issued by Checked by COMPANY Approval

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HSE MANAGEMENT PLAN Revision : 1 Status : AFC
Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :
Contractor Document : PT. AGI PERKASA KONSTRUKSI Page 2 of 42
REVISION TABLE
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TABLE CONTENT
1. INTRODUCTION--------------------------------------------------------------------------------6
This document is the property of PT AGI PERKASA KONSTRUKSI and shall not be disclosed to third parties or reproduced without permission of the COMPANY
Electronic Filename:
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2. SCOPE OF WORK------------------------------------------------------------------------------6
3. REFERENCES-----------------------------------------------------------------------------------6
4. DEFINITIONS AND ABBREVIATIONS--------------------------------------------------------6
5. PT. AGI PERKASA KONSTRUKSI HSE POLICY STATEMENT-----------------------------6
3.1 PT. AGI PERKASA KONSTRUKSI-----------------------------------------------------6
3.2 Management--------------------------------------------------------------------------6
3.3 Employees-----------------------------------------------------------------------------6
6. PT. AGI PERKASA KONSTRUKSI DRUGS AND ALCOHOL POLICY----------------------7
7. PT. AGI PERKASA KONSTRUKSI HSE GOALS----------------------------------------------8
8. ORGANIZATION AND RESPONSIBILITIES----------------------------------------------------8
8.1 HSE Organization Chart-------------------------------------------------------------8
8.2 Project Organization Chart---------------------------------------------------------8
8.3 PT. AGI PERKASA KONSTRUKSI Responsibilities---------------------------------8
9. HSE IMPROVEMENT PLAN-------------------------------------------------------------------12
9.1 HSE Activities When Hazard Occurs On Work-----------------------------------12
9.1.1 Employee Reporting Hazard-------------------------------------------------12
9.1.2 HSE Meetings------------------------------------------------------------------12
9.1.3 Communication of HSE Information----------------------------------------14
9.2 Evaluation of Project, Work Process and Facilities----------------------------14
9.3 Evaluation of Procedure Equipment, Materials and Services-----------------14
9.4 Training Coverage--------------------------------------------------------------------14
9.5 Safeguarding of Health (Medical Fitness)----------------------------------------15
9.5.1 Medical Fitness and Controlling--------------------------------------------15
9.5.2 Medical Support and Communication on Site----------------------------15
9.5.3 Industrial Hygiene------------------------------------------------------------15
9.5.4 Medical Screening-------------------------------------------------------------16
9.6 Environment Program---------------------------------------------------------------16
9.7 Waste Management Program-------------------------------------------------------16
9.8 MSDS Program------------------------------------------------------------------------16
10. FORESEEN HAZARD ON THE PROJECT---------------------------------------------------16
10.1 Foreseen Hazards Summary--------------------------------------------------------17
10.2 Fire and Gas Detection--------------------------------------------------------------17
10.3 Hazard Identification----------------------------------------------------------------18
10.4 Job Safety & Environment Assessment-------------------------------------------18
10.5 Risk Mitigation------------------------------------------------------------------------18
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11. INSPECTION, AUDIT AND CORRECTIVE ACTION-----------------------------------------19

12. HEALTH AND SAFETY MANAGEMENT COMMITEES--------------------------------------20
12.1 Project Safety Management Committee-----------------------------------------20
12.2 Health and Safety Representative------------------------------------------------20
13. HEALTH AND SAFETY INFORMATION AND TRAINING----------------------------------20
13.1 Health and Safety Information-----------------------------------------------------20
13.2 Health and Safety Training---------------------------------------------------------20
14. MONTHLY AND HEALTH SAFETY REPORT-----------------------------------------------21
14.1 Project Safety Awards and Intensive Scheme’s---------------------------------21
14.2 Injury, Dangerous Occurrence and Accident Reporting------------------------21
14.3 Incident/ Injury Report-------------------------------------------------------------21
14.4 Accident and Near-miss Recording------------------------------------------------22
14.5 Incident/ Injury Investigation------------------------------------------------------22
14.6 First Aid--------------------------------------------------------------------------------22
15. EMERGENCY PROCEDURE-------------------------------------------------------------------23
15.1 Safe Working Procedures-----------------------------------------------------------24
16. PERSONAL PROTECTIVE EQUIPMENT-----------------------------------------------------24
16.1 Safety Helmet------------------------------------------------------------------------25
16.2 Eye Protection------------------------------------------------------------------------25
16.3 Hearing Protection-------------------------------------------------------------------25
16.4 Respiratory Protection--------------------------------------------------------------25
16.5 Fall Protection------------------------------------------------------------------------25
16.6 Foot Protection ----------------------------------------------------------------------26
16.7 Gloves----------------------------------------------------------------------------------26
16.8 Working Clothes ---------------------------------------------------------------------26
17. WORKING WITHIN CONFINED SPACES ---------------------------------------------------26
17.1 Welding and Fabrication------------------------------------------------------------27
17.2 Work in Live Area--------------------------------------------------------------------28
17.3 Dissimilar Trades Working in Live areas------------------------------------------28
18. CONSTRUCTION PLANT, SMALL TOOLS (INCLUDING CARTRIDGES TOOLS) AND
MISCELLANEIOUS EQUIPMENT……………………………………………........................… 28
18.1 Crane and Lifting Equipment-----------------------------------------------------29
18.2 Steel Slings---------------------------------------------------------------------------30
18.3 Storage of Slings, Chains, Shackles and Hooks---------------------------------30
18.4 Lifting Operations-------------------------------------------------------------------31
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19. CONTROL OF SUBTANCES HAZARDOUS TO HEALTH (COSHH)-----------------------31

19.1 Noise----------------------------------------------------------------------------------31
19.2 Hygiene-------------------------------------------------------------------------------31
19.3 Alcohol and Drugs-------------------------------------------------------------------32
20. FIRE PROTECTION, PREVENTION AND CONTROL---------------------------------------32
20.1 Fire Protection----------------------------------------------------------------------32
20.2 Fire Precaution----------------------------------------------------------------------33
21. STORAGE OF FLAMMABLE LIQUIDS AND SUBTANCES----------------------------------32
22. SITE OFFICE, STORES, WORKSHOPS AND LIVING ACCOMODATION ----------------
33
22.1 Store Facilities----------------------------------------------------------------------34
23. WORKING PATTERNS AND REST PERIODS------------------------------------------------35
24. VISITORS---------------------------------------------------------------------------------------35
25. DISCIPLINARY PROCEDURES----------------------------------------------------------------36
26. MANAGEMENT OF CHANGE MONITORING------------------------------------------------36
27. SUB-PT. AGI PERKASA KONSTRUKSI MANAGEMENT------------------------------------36
28. ATTACHMENT---------------------------------------------------------------------------------37
ATTACHMENT A: HSE POLICY--------------------------------------------------------------38
ATTACHMENT B: DRUGS AND ALCOHOL POLICY----------------------------------------39
ATTACHMENT C: HSE ORGANIZATION CHART-------------------------------------------40
ATTACHMENT D: PROJECT ORGANIZATION CHART-------------------------------------41
ATTACHMENT E: HSE PROGRAM MATRIX-------------------------------------------------42
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1. INTRODUCTION
This document describes and covers the occupational health and safety and environmental
(K3L) requirements that PT. Agi Perkasa Konstruksi will follow the induction program
conducted by PT. MTI MMS
2. SCOPE OF WORK
This HSEMP (Health, Safety and Environment Management Plan) has been established and
to be applied for activities CIVIL WORKS and PIPE RACK INSTALLATION such as:
 Personnel Transportation
 Site Survey
 Pouring concrete, rebar and formwork installation
 Fabrication and installation of small modification of piping and/or structural,
 Painting which related to the fabrication and installation work
 Painting/coating application
 Pipe Installation
3. REFERENCES
 PT. MERDEKA MINING SERVIS Documents

 MMS-HSE-PR061 CTR HSE On-boarding Requirement
 MMS-HSE-PR003 PPE Rev. 02
 OHS Policy
 Environment Policy
 PT. AGI PERKASA KONSTRUKSI Documents

 HSE Objective Management
 Reward and Punishment
 Hazard Identification and Risk Assessment
 House Keeping
 Personnel Protective Equipment
 Medical Check Up
 Anomaly, Incident Reporting and Investigation
4. DEFENITIONS AND ABBREVIATIONS
 DEFINITIONS
DANGER. The risk of injury and is the opposite of Safe

SAFE. A condition in which all hazards inherent in an operation have either been
eliminated or controlled, such that associated risks are both below a tolerable
threshold and are reduced to a level which is as low as reasonably practical.
HAZARD. The potential to cause Harm, including ill health or injury, damage to
property, plant, products or the environment; production losses or increased
liabilities.
HARM. Include death, injury, physical or mental illness, damage to property, loss of
production or any combination of these.
RISK. It detonates a potential negative impact to an asset or some characteristic of
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value that many arise from some present process or from some future event.
 ABBREVIATIONS
 COMPANY PT MERDEKA MINING SERVIS
 PM Project Manager
 HSE Health, Safety and Environment
 SOP Standard Operating Procedures
 PPE Personal Protective Equipment
 MEDEVAC Medical Evacuation
 OHSEP Occupational Health Safety & Environment Protection
5. PT. AGI PERKASA KONSTRUKSI HSE POLICY STATEMENT

5.1 PT. AGI PERKASA KONSTRUKSI
PT. AGI PERKASA KONSTRUKSI as a construction and engineering company is very
concerned on HSE aspects at work area. That is the reason why PT. AGI PERKASA
KONSTRUKSI his obligated to pay special care on employees Health and Safety
inclusive the protection of Environment and assets from any possible damage.
5.2 MANAGEMENT
Health Safety and Environment Policy have been the Primary Commitment without
compromise to the Management of PT. AGI PERKASA KONSTRUKSI.
5.3 EMPLOYEES
All employees have the responsibilities in achieving a successful HSE Program. Each
employee is obligated to maintain work area in such as a way that safety and healthy
environment is created.
6. PT. AGI PERKASA KONSTRUKSI DRUGS AND ALCOHOL POLICY
PT. AGI PERKASA KONSTRUKSI believes that consumption of alcohol or illicit at the work
site has the potential risk and can cause accident or incident among others:
 Cause death or injury
 Cause damage or loss of CTR, client or sub-contractor assets.
 Compromise the effectiveness of the safe working culture
Any illicit or alcohol on the work site will be subject to discipline action or instant
dismissal. The Project Manager will ensure that this policy or properly explained to PT. AGI
PERKASA KONSTRUKSI customer will be requested to endorse and comply with
requirements.
The CTR Drugs and Alcohol policy statement can be seen on the Attachment B
7. PT. AGI PERKASA KONSTRUKSI HSE GOALS

To Improve HSE knowledge and its implementation by continued training and, or induction
for achieving satisfactory and HSE awareness to new employee.
This project is a part of AIM project so this project will adopt the HSE objective refer to
HSE objective of CPY. The target of lagging indicator for this project is:
 FATAL ACCIDENT : ZERO
 TOTAL RECORDABLE INJURY RATE (TRIR) : ZERO
 LOST TIME INJURY FREQUENCY (LTIF) : ZERO
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8. ORGANIZATION AND RESPONSIBILITIES
8.1 HSE Organization Chart (see attachment C)

8.2 Project Organization Chart (see attachment D)
8.3 PT. AGI PERKASA KONSTRUKSI Responsibilities
8.3.1 Project Manager and Deputy Project Manager
a. The Project Manager should be accountable to the Operation Directors
of PT. AGI PERKASA KONSTRUKSI of conformance the requirements of
PT. AGI PERKASA KONSTRUKSI HSE Management Plan, and all
appropriate Health and Safety statutory requirements. He shall also
unsure that everyone under his direction operates within the legal and
policy frame work.
b. He shall consider that all the initial stage and throughout the duration
of the project any hazardous features of work. Having done he shall
take all reasonably practicable steps to ensure that any risks are, if
possible, eliminated or controlled by positive measure.
C. Manager is fully responsible to implement the HSE Program as well as
the providing of human resources, their understanding and
implementation of the program at the Head Quarter and the current
project sites.
b. Manager has responsibility in maintaining a good cooperation between
PT. AGI PERKASA KONSTRUKSI and costumers and other parties, so that
the HSE procedures can be implemented effectively.
8.3.2 HSE Coordinator

a. Regularly review the HSE Management Plan to ensure that the remains
comprehension, effective, up to date reflects prevailing requirements
of the project. Where there has been significant change to the
organizational structure hazards or arrangements for health and safety
on site he shall advise or assist the project manager accordingly is
implement such a change.
b. Provide a comprehensive Health and Safety advisor service to the
Project Manager, relevant members of the safety committee and the
site management team.
c. Establish and maintain schedules site health and safety inspection and
audit procedures. These procedures shall include the preparation and
appropriate distribution of written reports detailing identified defects,
weakness and recommendation for improvement.
d. Establish and maintain adequate procedures ensure that all accidents
and dangerous are thoroughly investigated and promptly reported to
the appropriate parties.
e. He shall liaise with relevant enforcement authorities, and all other
relevant parties on health and safety matters.
f. He shall prepare and submit to the project manager and the client (PT.
MERDEKA MINING SERVIS), written reports detailing all health activities
on the project for the period covered. These written reports shall
include, but no be limited to, issue such as inspections, audits, training
and accidents
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8.3.3 HSE ADMIN
a. Assigned to carry out hazards, carry out assessments, risks and take actions
that can occur in the application and occupational health
b. Implementation of the K3 program that has been determined by the company
as an effort to overcome and prevent work accidents
c. Swallow and recap reports that have been submitted by security personnel
d. Make daily, daily, monthly reports, this report can contain inspection reports,
work reports, document data and others
e. Plan future occupational safety and health programs
f. Participate in supervising and implementing K3 in the company environment so
that it can run well as planned
g. coordination with the HSE coordinator for all OH&S implementations that have
been implemented or will be implemented, whether the implementation has
been carried out properly or not
h. take responsibility for making project agendas related to the implementation
of occupational safety and health
8.3.4 HSE SUPERVISOR
a. Having and adequate knowledge of and observing the requirements of the Company
Health and Safety Policy and HSE Management Plan as required at his level of
responsibility.
b. He shall ensure that all operations under his control are properly assessed for risk,
planned, supervised and monitored to enable them to be carried out at in safe manner
and without the risk of injury, damage or loss.
c. He shall ensure that, in respect to the scope of this position, places, systems of work,
plant and equipment used shall be maintained in a safe condition and are without risk of
injury. Damage or loss.
d. He shall set and example on the site by wearing appropriate Personal Protective
Equipment and or Safety Equipment.
e. Reports daily to HSE Coordinator by using proper form.
f. Monitoring Work Permit / CPY work permit and its validity.
g. Responsible in participating HSE Meeting, Toolbox Meeting, Safety Talks in order to
ensure the activities done continuously, well organized and accepted by all employees.
h. Monitoring the compliance of employees and visitor in completion of Personal On board
(POB).
i. Inspect, rectify and records daily unsafe actions including condition and reports to Safety
Coordinator
j. Responsible to carry out HSE Programs in verbal and written format as mentioned in HSE
Manual.
k. Responsible in assessing employees for rewards and punishment purpose and issuing a
warning/ sanction to the involved employee.
8.3.4 All Personnel (Including Short Service Employee, Visitor)

All personnel working for, under the control of PT. AGI PERKASA
KONSTRUKSI must:
a. Full observe the COMPANY’S safety rules.
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b. Report any safety hazard within their work area.

c. Conform to all written or verbal instruction given to them to ensure
their personnel safety and safety of others.
d. Be sensibly and safely dressed for the particular working environment
activity.
e. Conduct them in an orderly manner in the work place.
f. Use all safety equipment and/ or protective clothing as may be
provided as directed.
g. Avoid any improvisation of any form, which could create unnecessary
risk to their personnel safety and to safety of others.
h. Ensure that all tools and equipment are in good condition and report
any defects to the supervisors as and when they occur.
i. Not attempt to lift, carry or move any article, which due to its size
shape or weight, would be likely to cause injury.
j. Report all accident to the supervisor whether injury is sustained or
not.
k. Be aware of the fire evacuation procedures and the position of fire
alarms and fire equipments, designated assembly points.
9. HSE IMPROVEMENT PLAN
PT. AGI PERKASA KONSTRUKSI realizes that improving HSE on site cannot be achieved
without both employees and the management participation. Administering the program will
be the responsible of the Manager and HSE Coordinator. Improvement items agreed will be
entered to the site HSE Objectives List as an additional to the items recorded from Accident
Investigation, Management Audits, Inspection, etc.
PT. AGI PERKASA KONSTRUKSI will implement a behavioural based safety management
process using the following foundation principals:
a. Identifying critical behaviours from incidents, near misses and dispensary reports.
b. Gathering data by field observation.
c. Giving feedback on performance following the observation.
d. Removing any barriers that prevent safe behaviour through action planning.
9.1 HSE Activities When Hazard Occurs On Work
9.1.1 Employee Reporting Hazard
The “Right-to-Refuse Unsafe work” is fully supported for all employees. A system
is implemented to report hazardous or unsafe work condition and / or suggestion
on improving the HSE system through the use of a system approved by the
Project Manager. Hazard on site such as unsafe situation and action and also
positive behavior/situation for improving the HSE system on site can be reported
through resistant and/or HAZARD report form that provided.
9.1.2 HSE Meetings
9.1.2.1 Induction Program (Health and Safety Induction)
Prior to commencing work on site all PT. AGI PERKASA KONSTRUKSI

employees shall attend induction training to introduce personnel to
Health and Safety requirements of the project. The induction training
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shall aim to make project personnel aware of Health and Environmental

Regulations and system to assist them in carrying out their work in a safe
manner, at all times regarding their own safety, that of their colleagues,
the environment and COMPANY personnel. The induction shall be
conducted under the control of HSE Coordinator.
As further specific induction and orientation session will be conducted by
COMPANY on project work site.
All personnel visiting a project work site shall report immediately upon
arrival to COMPANY where they will be supplied with any identify badge
and instructed in emergency alarms on site and other safety rules.
Visitors are required to attend a visitor’s induction in the company of a
nominated project representative whilst on site.
All employees including ’s employees are required to complete a General
Induction to attending the induction training.
9.1.2.1 Tool Box Safety Meetings (Daily)
Tool box meeting is held between field supervisors and their employees
in a ten minutes meeting to discuss a specific topic related to the shift’s
work scope and interfaces included reminding about Hazards based on
JRA and current condition. During this meeting employee can suggest
safety improvement and shall be record in the meeting result and
attendance form. CTR supervisor must ensure all tool box meeting report
is acknowledged by CPY representative on site.
9.1.2.2 Safety Talk (Weekly)
Weekly safety talk will be performed every week on Friday and will talk
about HSE matters and other lesson learn or safety feedback/alert that
related with health, safety and environment. The speaker will be
arranged as per schedule but not limited from other party. All
information in this meetings will be reported and keep the record as an
evidence. CTR must ensure all Safety talk report is acknowledged by CPY
representative.
The schedule of Safety Talk (Attachment F)
9.1.2.3 HSE Committee Meeting (Monthly)
The committees consist of both hourly employees and personnel from

supervisory level represent ting all departments. HSE Committee meeting
will be lead by Project Manager. All meetings are minute, action items
requiring resolution are recorded and site management ensures that
these are cleared in a timely manner. From experiences that are
representative have in the workplace, they are better able to
communicate the management the concerns problems that employees
experience.
9.1.2.4 HSE Meeting Program with Client (Quarterly)
The aim of this meeting is to monitor implementation of program that

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already written or to monitor HSE performance during project execution

on worksite and to cascade the massage from CTR HSE Committee
Meeting. This meeting will be arranged between CTR and Client. All
finding that found in the meeting will be followed up.
9.1.3 Communication of HSE Information
9.1.3.1 A number of means are used to communicate new or changes to HSE

related information to applicable employees. This includes policies and
procedure, JSEA, Hazard, guidance information, Tool-Box meetings,
training classes.
9.1.3.2 Award and Recognition
9.1.3.2.1 PT. AGI PERKASA KONSTRUKSI would implement an employee

award and recognition program that recognizes employee for
achieve HSE efforts accomplishments. These are not used as
an incentive for safety performance, but rather an announced
show of appreciation for employees.
9.1.3.2.2 Awards and recognition are administered through an employee

HSE committee.
9.2 Evaluation of Project, Work Process and Facilities
HSE Personnel are kept abreast of new / potential changes in the job site thorough a
number of ways including:
a. Daily Site Supervision Meetings
b. Pre Work Meeting with the COMPANY
c. Participation in Management Review Meetings of the Integrate system applies to in
job site.
d. Participating in Contract Reviews and Kick-off meetings for new projects.
e. Regular contact with operational personnel, project management, and
Management, and Management throughout the facility.
9.3 Evaluation of procedure Equipment, Materials and Services
9.3.1 The HSE Department involve in monitoring and supervising sub-PT. AGI
PERKASA KONSTRUKSIs HSE management by ensuring that follow the standards
set by the COMPANY.
9.3.2 The HSE Department will advise the purchasing Department of approved
specifications for PPE. The purchasing Department will liaise with HSE
Department to establish a list approved vendors and brands of acceptable PPE.
9.4 Training Coverage
PT. AGI PERKASA KONSTRUKSI has committed to ensuring that we have a competent
and skilled work force which fulfils the COMPANY requirements. Therefore, PT. AGI
PERKASA KONSTRUKSI HSE Team must conduct regular induction program/ safety talk
program to all site personnel. For the specific hazardous area, the induction / safety
talks shall be carried out each time before the execution of work to remind and
increase awareness of site personnel. If there necessary training shall be conducted
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due to the site and personnel requirements.
9.5 Safeguarding of Health (Medical Fitness)
PT. AGI PERKASA KONSTRUKSI has developed and documented a set of procedure to
cover the following areas of occupational health, the procedure as:
9.5.1 Medical Fitness and Controlling
CTR will make sure that all personnel who work at worksite include sub-
contractor shall be completed with medical check up from authorized clinic or
hospital. Medical check up is done to new employee or permanent employee
for CTR and sub-contractor and will be continue or up to dated when their
result of medical check up will be expired within one month. Medical check up
letter will be issued from CTR medic or doctor on duty and will be verified and
acknowledged by project manager.
MCU record individually is kept and documented by doctor/medic as
confidential document by the Clinic Office. No one is authorized to take a copy
or MCU original document by himself.
MCU result from Sub. contractor will submit for main controlling.
Summary MCU record of employee / worker PT. AGI PERKASA KONSTRUKSI and
Sub contractor is done by doctor/medic on duty and to be reported to
concerned head department.
9.5.2 Medical Support and Communication on Site
CTR will provide first aid Kit/Bag and equipments based on CPY requirement.
CTR also will request for assistance to CPY related with emergency case and
communication in case any incident or accident is happened at worksite in
using CPY medical facilities. CTR management will inform or request to CPY
Representative for emergency case. Detail methodology of Emergency case will
be explained in detail in Project ERP Bridging Document.
9.5.3 Industrial Hygiene
a. A system to assess potential risk of worker exposure to airborne

contaminates.
b. Upon completion of the assessment, PT. AGI PERKASA KONSTRUKSI
shall eliminate the hazard by effective method of controlling the
airborne contaminates. For example; control of dust by watering the
area and or reduce the speed limit of vehicles.
9.5.4 Medical Screening
b. Medical examinations will be performed in accordance with PT. AGI

PERKASA KONSTRUKSI Human Resource Department Guidelines. (i.e.
pre-employment, post employment, and routine medical screening).
c. PT. AGI PERKASA KONSTRUKSI shall maintain individual medical
record throughout the duration of the project.
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d. Examples of periodic medical examinations are as follows:

i. Annual key employee physicals
ii. As a result of health problems and questionable fitness for work
e. The PT. AGI PERKASA KONSTRUKSI shall ensure the hospital or clinic
in use is a proven its capability in terms of both equipment and his
personal competence
9.6 Environment Program
This Program guides all the management of handling waste, good operating
procedures, etc that can cause a side effect to the environment. CTR as the company
that implemented all this guidance shall be very concern to the neighborhood is it
good or bad according to the regulations whether it is from the Company, National and
International. Thus, by implementing Environmental Program the affects arising of the
constructional phase can be minimized.
The HSE Department shall in close cooperation with the management and the
employees, work towards better work environment. For more explanation about
environment handling. Statement in Environment Management Plan (EMP)
9.7 Waste Management Program
Waste Management Program consist of handling the hazardous material (B3)

categories, collect, it and send it back to PT. AGI PERKASA KONSTRUKSI Yard or
approved receiving point for further handling. The others such as foodstuff left over,
organic material, plastic, paper etc. shall releases to approved dumping area by the
IMIP.
Reporting of hazardous material (B3) and handling / dumping it will be reported on the
first week every consecutive month.
Housekeeping will be done daily before / after activities ended, at site area supervisor
will be responsible for activity. For more explanation about Waste Management
Handling Statement in Waste Management Plan (WMP).
9.8 Transportation Program
Personnel and logistic transportation from CTR Workshop to site will vehicle/car that
have passed inspection by COMPANY and has to fulfil daily inspection checklist by
person in charge. This transportation should be operated by competent personnel
9.9 MSDS Program
All major PT. AGI PERKASA KONSTRUKSI work sites will maintain a file containing
copies of all manufactures’ Material Safety Data Sheet (MSDS) for products in common
use within PT. AGI PERKASA KONSTRUKSI. When these substances are stored,
requisitioned, purchased or shipped out to PT. AGI PERKASA KONSTRUKSI work sites,
there should be also be provided with MSDS.
The stores personnel shall maintain complete, accurate, up date file of all MSDS and
MSDS for all substances in stock, on the premises, or pending shipping and it should be
clear (word and appearance). PT. AGI PERKASA KONSTRUKSI will provide MSDS within
English and Bahasa.
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Apart from specific health implications, this is to act as a source of information from
the manufacturer/supplier for all aspect of product storage, handling, and
actions/precautions in case of accident, fire, breakage, spillage, etc.
Signs of the hazard shall apply on all situation, shipping, storage, drums etc. Put label
and sign as indicated on the MSDS.
10.FORESEEN HAZARD ON THE PROJECT
10.1 Foreseen Hazards Summary
The foreseen able hazardous operations associated with this project are
summarized, but not limited to the items shown, as follows.
10.1.1 Work within excavation and confined spaces.
10.1.2 The use construction plant and equipment, including lifting appliances,
10.1.3 Falling hazards
10.1.4 Tripping hazards, cables, material, plants.
10.1.5 Handling, and use storage and transportation of material and substances.
10.1.6 The erection of heavy items of plant, pipe work etc.
10.1.7 Operations involving grinding, chipping, cutting, welding, burning, impact
devices, cartridge devices, etc.
10.1.8 Injuries and damage from improper operation or malfunction of plan and
or equipment.
10.1.9 Exposure to environmental or health risk associated with dust, fumes,
gasses and vapours.
10.1.10 Operation involving work or adjacent to live electrical equipment, plant
or cables.
10.1.11 Operation involving work on pipe work, valves system, etc.
10.1.12 The Pre-commissioning and commissioning of mechanical equipment.
10.1.13 Exposure to hazardous substances.
10.1.14 The commissioning of pipeline, pipe work, control instrumentation and
fittings.
10.1.15 The felling of trees mechanical means or by hand.
10.1.16 Operations involving lifting by mechanical means.
The foregoing identifies the major areas of concern. It is therefore too necessary
to establish control measure or guard against injury, damage or loss by
implementing safe places and system of work. Adequate monitoring and control
measure in conjunction with the provision of suitable Personal Protective
Equipment shall from the foundation of save working practices on the project. The
following items describe the PT. AGI PERKASA KONSTRUKSI arrangements for
ensuring that the risk associated with the hazardous operations shall be eliminated
or adequately controlled.
10.2 Fire and Gas Detection
In the event of a hazardous situation being detected by the safety system shall
initiated the predetermined alarms and protective actions to warn personnel of a
fire and gas. All personnel are to be aware of the warning signal and what response
is required when such signal active.
In case emergency during installation have gas leaking all personnel should be
gathering to muster point and shut down all equipment, if necessary abandon the
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location and must inform to get help to COMPANY.
10.3 Hazard Identification
10.3.1 In order to evaluate the risk to personnel, assets and the environment, PT.
AGI PERKASA KONSTRUKSI provides as part of its procedure, the
identification of hazard and assessment of risks that may happen during the
works.
10.3.2 PT. AGI PERKASA KONSTRUKSI shall set a team consist of Site Manager/PJO,
HSE Coordinator and related Section Head/ Supervisor to the asses the risk
of a typical work.
10.4 Job Safety and Environment Assessment
Job Safety and Environment Assessment shall be filled and reviewed together with
COMPANY prior to execution of the works at site by considering the latest data and
available local data.
10.4.1 The Job Safety and Environment Assessment will be performed when
significant Hazard have been identified by Project Team. The analysis will
be based on the evaluation of risks related to specific operations,
experiences feed back reports or from input from external professional
institutions.
10.4.2 A Risk Analysis shall as a minimum, contain the following elements:

10.4.2.1 Describes the sequence or step of work
10.4.2.2 Potential hazard identification
10.4.2.3 Job Safety and Environment Assessment Team shall list all
significant hazards and then review them to determine what
foreseeable effects they could cause if not eliminated or
controlled. The Hazard/Risk Consideration shall be used to
ensure that no hazards are missed.
10.4.2.4 Implement Control Measures
10.4.2.5 Verification and Experience Feedback
10.5 RISK MITIGATION

Following the identified of Job Safety and Environment Assessment, Safety Team
should control any risk to minimize any accident/incident that their think has
potential arise.
10.5.1 Risk Control
 Eliminate Control
 Substitution
 Engineering / Re-design
 Isolation
 Administration
 PPE (Personal Protective Equipment)
10.5.2 Monitoring
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Once the assessment completed successfully introduced to the job site,

monitoring must take place to ensure that it is being implemented as
planned. Checks should be made to ensure that:
 The information has reached all levels of the organization;
 It has been understood by managers and employees;
 Managers are aware of their specific responsibilities under the policy;
 Those responsibilities are being fulfilled;
 Safe working procedures are being followed;
 Other systems of work and procedures introduced under the policy
are working.
10.5.3 Supervision
A continuous supervision requires ensuring the assessment conducted and
action to remedy the potential hazard.
10.5.4 Inspection
Prior to perform the task, a thorough inspection to be carried out to
ensure all assessment items followed according to the risk assessment.
10.5.5 Reporting
Any discrepancy from assessed shall be reported.
10.5.6 Additional Requirements
 Make sure all personnel working on site understood their respective
tasks.
 Giving induction to all personnel
 Follow any Safe Work Procedures
 Any accident / incident must be report straight
11. INSPECTION, AUDIT AND CORRECTIVE ACTION
Inspection and audit will be implemented to monitor the HSE activities. PT. AGI PERKASA
KONSTRUKSI safety team are responsible to implement a routine safety inspection during
the construction work (i.e. weekly/monthly basis), the report shall be submitted to CPY
by CTR HSE Coordinator.
Any findings of inspections and audits must be shared between PT. AGI PERKASA
KONSTRUKSI’s Project Manager, Site Manager/PJO and HSE Coordinator with positive
commitment from both parties to use the findings for improving their performance.
Project Manager together with Site Manager/PJO shall follow up any Corrective Actions
required; negligence in doing so or insufficient Corrective Actions may result in a
negative record in the final evaluation.
PT. AGI PERKASA KONSTRUKSI and COMPANY might conduct safety audit at least once per
year during project in progress.
This will affect the overall performance of the Management System, Project Team and
Individual performance evaluation.
Successful implementation of the HSE Plan will be determining by the achievement of
monitoring, evaluating, auditing, conducting Corrective Actions and Implementing the
improvement programs.
12. HEALTH AND SAFETY MANAGEMENT COMMITEES
12.1 Project Safety Management Committees

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PT. AGI PERKASA KONSTRUKSI shall establish and maintain a schedule of, Monthly
Safety Committee meetings. The meeting shall promote safe working practices on
site, monitor the efficiency of the site safety plan, review the project accident
record and trends and provide a forum to plan loss prevention initiatives.
The committee will compromise the following personnel.
a. The Site Manager/PJO (Chairman)
b. The Personal and General Affair Coordinator
c. Admin HSE
d. Any additional persons appointed or invited by the chairman
The meeting shall be conducted in accordance with formal agenda and be subject
to comprehensive minutes, which be promptly distributed to all committee
members, and the minutes should be displayed on the project.
12.2 Health and Safety Representative
One member of PT. AGI PERKASA KONSTRUKSI senior staff shall be assigned Health
and Safety Representative to the COMPANY Safety Committee.
13. HEALTH AND SAFETY INFORMATION AND TRAINING
13.1 Health and Safety Information
PT. AGI PERKASA KONSTRUKSI ensure that a variety of techniques, such as poster
campaigns, the distribution of the Health and Safety Information sign board and
safety bulletins are reorganized and distributed. By doing so it believed that this
would aid the promotion of safe working practices throughout the project. They
will also ensure that their s display the relevant warning signs, emergency and
rescue procedures, notices and placards at strategic point’s office, work places,
welfare facilities and general construction areas.
13.2 Health and Safety Training
PT. AGI PERKASA KONSTRUKSI will ensure that suitable ongoing programs of Health,
Safety and Environmental are implemented. We and our client of the training
needs of the respective personnel will base the training programs upon periodic
formal assessments. Subjects such as induction, HSE Management Plan, accident
prevention, Health and Safety law, Health and Safety Management, Emergency
procedures, Fire and Toolbox Talks shall be covered. The assessment will be
conducted at interval not exceeding 3 months and the training programs adjusted
accordingly.
All site personnel undergo initial training to include core topics such as site health
and safety, managements plan relevant health and safety regulations, emergency
procedures, hazardous on site, accident reporting, first aid procedures, the
wearing of personal protective equipment, working in confined space, working at
height. Another matter relevant at time of induction, all supervisory staff will
attend refresher induction course.
14. WEEKLY HEALTH AND SAFETY REPORT
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The HSE Coordinator should report of the health and safety record for the previous
month. This report shall include, but not limited to, a record to any lost time injuries,
frequency rate, severity rate, dangerous occurrences, training given during period, plant
inspection, scaffolding inspections, lifting equipment inspections, breaches of the permit
to work scheme, safety inspections, safety audits, any disciplinary actions taken against
offenders of this plan, dates of safety management committee meetings and any other
information pertaining to health and safety during the reporting period. Monthly HSE
report must be acknowledged by Company Site Representative.
The weekly safety report shall be filled within the central safety file, on site and shall be
available, at all times, for inspections or audit by the relevant parties.
14.1 Project Safety Award and Incentives Scheme
In an effort to stimulate the enhanced interest of all project personnel its accident
operates safety incentive award scheme throughout the duration of the project.
The format of the schemes will be published well in advanced of coming into
effect. prevention programs PT. AGI PERKASA KONSTRUKSI will encourage to
introduce and
14.2 Injury, Dangerous Occurrence and Accident Reporting
The project procedures relating to injury and Dangerous Occurrences Reporting are
designed to satisfy both the COMPANY’S statutory and Contractual obligations. The
specific site operating Procedures dealing with the reporting and remedial action
required where as injury, damage or loss on site is entitled Site Operating
Procedure for injury, Damage or Loss. A copy of this site operating procedures in
held in the site central filing system and is available to all relevant parties.
14.3 Incident/ Injury Reporting
Incidents report shall be completed for near misses, property or productivity looses
including marine spread, environmental, property or equipment plant damage.
Injury reports shall be completed for all accidents that result in personal injury or
illness.
PT. AGI PERKASA KONSTRUKSI shall report all accident/ injuries occurring on
YARD/JOB SITE sites within 24 hours of the incident/ injuries occurring to
COMPANY.
The HSE Coordinator shall collate all incidents. Injury reports and sent the reports
to the, HSE Manager, Project Manager, and Site Manager and to COMPANY Safety
Representative within 7 days of the incidents/ injuries occurring.
PT. AGI PERKASA KONSTRUKSI shall maintain incident/ injury record to allow for
the monitoring of safety performance and statistics. PT. AGI PERKASA KONSTRUKSI
will also conduct Potential Risk Program / Anomaly Risk Report and report this
matter in monthly basis.
14.4 Accident and Near-miss Recording
PT. AGI PERKASA KONSTRUKSI will establish procedures to ensure that all injuries,
however minor (including near-miss), requiring First Aid treatment is recorded in a
register maintained for the purpose. Each entry will record the following
information:
 The name of the injured party
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 The name of employee

 The date and time of the injury
 The location of the injury on the person body
 The precise nature and cause of the injury
 The estimated period of incapacity, (if any)
 The first aid treatment administered and by whom
PT. AGI PERKASA KONSTRUKSI shall maintain a separate register in which will be
recorded details of all injuries and or dangerous occurrences reported to the
statutory authorities.
In accordance with the weekly reporting criteria contained herein the
PT. AGI PERKASA KONSTRUKSI will provide the COMPANY Health and Safety
Representative with a summary of all injuries and dangerous occurrences which
have occurred during preceding week. The report will also show the average
number of personnel employed, on site total man-days worked, and the injury
incidence and frequency rate for the reporting period.
The HSE Coordinator will maintain comprehensive injury statistical data based
upon weekly returns describes here in the data will provide information on the
cumulative number of the reportable accidents, incidents, near miss and
dangerous occurrences in the project along wit the cumulative reportable incident
and frequency rates.
14.5 Incident/ Injury Investigation

 The initial investigation of any incident or injury will be the responsibility of
Project Line management including the supervisor.
 The Line Management must carry out a full investigation of all reported
incidents/ injury on the project and forward a completed report form
regarding the investigation to the HSE Coordinator who in turn forwards it to
the Site Manager.
 The Site Manager must evaluate the seriousness of the incident/ injury and
forward all relevant information to the Project Manager.
 After any serious incident/ injury the HSE Coordinator must carry out a full
investigation. The site Manager shall be including in the investigation and
the Project Manager shall report all details to COMPANY.
 Significant safety incidents will also be reported and discussed with
employees via the regular safety meeting or a special meeting as the
situation demands.
 Trends will be evaluated, remedial action taken and where necessary, Safety
Procedures will be revised and published.
14.6. FIRST AID
PT. AGI PERKASA KONSTRUKS Is shall provide an adequate number of first aid boxes at
work locations. These boxes shall display a checked schedule showing the date and time
at which they were last checked. All first aid boxes shall be checked, signed, date and
timed daily by the paramedic and Safety Officer.
The contents of the first aid boxes will be sufficient for their intended purpose, talking
into account the size of the work forcer, and the location of the work areas. Each box
will be clearly visible at all times and shall be easily accessible. The first aid boxes will
be constructed of material which protect the contents again dampness, dust other
contamination. No first aid box shall contain anything other then first aid appliances and
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requisites. An adequate number of suitable trained and qualified first aid personnel will
be strategically located through out the work areas. Such as personnel will be clearly
identifiable by distinctive marking on safety helmets, arm bands reflective rests, etc.
15. EMERGENCY PROCEDURES
PT. AGI PERKASA KONSTRUKSI will ensure that suitable procedures and drill emergency
situation, including rescue operations, are implemented. Such as foreseeable
emergencies would include, but no limited to:
 Fire
 Persons falling from heights
 Person tripping over object, cables, pipes, etc. requiring immediately treatment for
serious injuries.
 Electrocution
 Traffic or heavy plant injuries, including those sustain in workshops
 Injuries resulting from free feeling operations
 Lightning strikes to persons
For this other emergency situations PT. AGI PERKASA KONSTRUKSI will prepare, publish
and circulate specify procedures
In order ensure an adequate response to an emergency situation PT. AGI PERKASA
KONSTRUKSI shall require appointing and adequate number of suitable strained personnel
competent in the use of basic fire fighting and rescue equipment. These personal should
also be capable on providing basic first aid to any victim or injured party.
PT. AGI PERKASA KONSTRUKSI will ensure that suitable number of emergency. Rescue
teams are establishing on site to ensure a rapid response to any emergency situation. The
emergency teams will consist of PT. AGI PERKASA KONSTRUKSI and Emergency teams
shall participate in regular simulated drills of various types at intervals not exceeding for
months.
15.1 Safe Working Procedures
Whilst carrying out Designs, Planning, Project, Detailed Planning, Risk Assessment,
Work Procedures, and Method Statement etc. PT. AGI PERKASA KONSTRUKSI will
identify activities, for which, specify Written Safety System of work will require.
These written procedures shall ensure that the activities, for which they have been
written, are adequately controlled in order to prevent injury, damage or loss.
All written Procedures and Method Statement shall clearly identify the objective,
sequence of events, foreseeable hazards, and precautionary and protective control
measures to be put in place before work commences. Every such documents will be
written in clearly, easily understood language and terminology in order to allow
the relevant personnel to understand it.
Every written procedure or Method Statement shall be given a unique reference
number, in line with the site document Control Procedure, and maintained within
the central filling system on site. If during the course of operations, it becomes
apparent that any procedure requires up dating and revising then this will be done
immediately. All circulation and replace with the current one.
The Project Engineer shall maintain a register of all Procedures and Method
Statements. The Project Engineer will ensure this database in up-date each time a
new procedure requires up-dating and or revising then this will be done
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immediately. All circulation and replaced with the current one.
16. PERSONAL PROTECTIVE EQUIPMENT
PT. AGI PERKASA KONSTRUKSI will ensure that all site personnel and authorized visitors
maintain adequate and sufficient supplies or Personal Protective Equipment (PPE), on
site and yard for use. CTR to provide PPE as per CPY requirements and standards.
PT. AGI PERKASA KONSTRUKSI will ensure that the appropriate PPE is issued to and used
by their respective personnel and visitors.
The provision of PPE will be in accordance with the relevant statutory requirements
contained therein but no necessarily limited to:
PT. AGI PERKASA KONSTRUKSI will establish suitable procedures to record the issue of
PPE to an individual. Every person, including Visitors, issued with an item of PPE will be
required it sign receipt, a copy of which will be retained in a dedicate file by ourselves.
PT. AGI PERKASA KONSTRUKSI will provide adequate and sanitary facilities of the storage
of PPE both before and after use by their respective personnel.
All personnel will be informed, at the time of issue, of the need to maintain the
equipment properly and hygienically and to report immediately and defect or damage of
the PPE. They will, against at time of issue, be give explicit instruction on the proper use
of the PPE issued to them for their use only.
Depending upon the work activity of PT. AGI PERKASA KONSTRUKSI the type of PPE that
will required to be issued on the project will include but not be limited to the following.
16.1 Safety Helmets
All personnel performing work or services in designated hard at area shall be

provided with a wear at all times an approved type Safety Helmets. Where
personnel are exposed to wind conditions all helmets will their helmets will be
fitted with chains traps. The color of Safety Helmet for all CTR personnel on site
must be red.
16.2 Eye Protection
Suitable protection will provide to all personnel at risk of damage to their eyes, in
accordance with the Local Statutory Regulations. The type of eye protection may
vary, i.e. goggles, spectacles, full face visors, but in each case will conform to the
Approved Specification for Eye Protectors.
16.3 Hearing Protection
Suitable hearing protection will provide to all personnel exposed to noise levels
above 85db. The type of protection provide may be ear muffs or ear plug but in
either case must provide sufficient attenuation to remove the risk of damage to
the hearing if the person using the equipment.
16.4 Respiratory Protection
A range of suitable respiratory equipment will be kept available and provided,

depending on the type of respiratory hazards encountered. Various respiratory
capable of providing protection against dust, fumes and vapour, manufactured to a
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standard acceptable to the local Statutory Regulations may be used.
16.5 Fall Protection
Any worker at height greater than two meters (2 M) above ground or deck level will
require a fall protection device, although each specific job must be assessed on its
own merit and appropriate protective mechanism implemented even when
employees work at heights less than two meters.
Whatever tasks are envisaged that may be requiring work ate height the following
action hierarchy will be followed.
 Avoid or minimize the work at height by redesign or schedule
 Provide a secure and safe platform, i.e. scaffolding elevated work platform,
etc.
 Prevent falls with the full body harness, static lines, etc.
 Minimize injury with nets, etc. less than two meters (2 M) below work level.
Scaffolding must only be erected by personnel who have scaffolding experience

and must not be erected so as to impede production or aces to safety equipment.
Scaffolding must not be secured to pipes of 4 inches in diameter.
Scaffolding will be inspected by certified scaffolding inspector before being put
into service and must be dismantled upon work completion. Scaffolding shall either
have a sign “Scaffolding incomplete Do Not Use” or “Scaffolding save to use” in
both English and Indonesia.
16.6 Foot Protection
All personnel on site shall be requires to wear protective footwear at all times.
This footwear will include shoe plate, steel caps, mid sole plate and rubber soles.
16.7 Gloves
All personnel working with sharp object, abrasive wheel or grinders, toxic or other
hazardous materials, live electrical equipment, shall be provided with hand gloves
high impact as per Company requirement in order to prevent injury damage to
their hands.
Other item of appropriate PPE shall issue to site personnel as and when required
depending upon the aspect of work being carried out.
During the Risk Assessment process the assessment will define the type of PPE
required for the operation. Having been identified on the Job Risk Assessment the
relevant manager or supervisor will ensure that those wear the PPE under his
charge, at all times.
16.8 Working Clothes

All CTR personnel who will work at hazardous area and exposed to risk are
mandatory to wear working clothes with shirts and pants to comply with minimum
standard – 100 % cotton & high visibility (bright colour), reflector.
ALL MANAGEMENT AND SUPERVISOR STAFF SHALL CONTINUALLY DEMONSTRATE THE

USE OF THE PPE WEARING THE APPROPRIATE PROTECTIVE EQUIPEMNTS AT ALL TIME.
THEY WILL LEAD BY EXAMPLE.
Every person issued with PPE is initially responsible for using, inspection regularly
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maintaining the equipment in good order. This will ensure that the equipment remains fit
for its intended purpose. The HSE Coordinator and Safety Officer will regular monitor the
used the PPE on the site.
The failure of any individual to use the Personal Protective Equipment provide as
directed by their employee is subject to disciplinary action and may result in the
offender’s dismissal from the site.
17. ANYONE WITNESSED ACTING IRRESPONSIBLE ABUSING PPE, OR IN A MANNER

CONSIDERED DANGEROUS TO OTHER WILL BE SUBJECT TO DISCIPLINARY.
17.1 Welding and Fabrication
All welding and fabrication is identified as a hazardous operation. As such

PT. AGI PERKASA KONSTRUKSI will ensure that provision is made to eliminate,
wherever possible, or to reduce by control measures the risk involved in these
operations.
Welding has been defined, as the fusion of two pieces of metal, rendered plastic or
liquid by heat or by pressure or by both. There are many different processes of
welding, but the most commonly used in the construction industry are gas welding
and electric arc welding. These are the types considered by this plan.
Prior to commencement of on site welding activities a risk assessment for the
operation will be carried out and all personnel shall have adequately addressed the
following items.,
 General condition and serviceable of the welding equipment to be used.
 Have gas cylinders been vertical position.
 Are gauges on cylinders working correctly?
 Do cylinders have flashed back arrested fitted. If no, they then must be
fitted prior to use.
 Is adequate and suitable fire extinguisher available to the welding location?
 Storage of both full and empty gas bottles. Oxygen bottles must be stored
separately.
 Transportation of cylinders.
 Voltage supplies to electric arc welding to be constant.
 PPE: Suitable and adequate PPE must be used by those involved at all times.
 Proximity of adjacent services.
 Provision of suitable screens.
 General cleanliness of work area.
 Electric shock.
 The possibility of eye flashes to personnel working adjacent to welding
activities.
 Burns from contact with hot surfaces or materials.
Weld procedures shall be developed and approved by the relevant site supervisor
before any permanent works welding take place.
17.2 Work in Live Area
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It is recognized that work will necessarily need to be carried out on or adjacent to

live equipment. Such work is of particularly high risk to injury and incident and will
require detailed Risk Assessment, Planning, Control, Execution and Supervision.
All work of this type will be carried out under the control measures imposed by the
Permit to Work System.
PT. AGI PERKASA KONSTRUKSI will ensure those adequate lines of communication
area in place, between all relevant and directly involved parties, to allow the work
to be completed without injury, damage or loss. This will be achieved by the works
being assessed, planned, controlled, supervised, managed, and executed by
competent qualified personnel protective equipment, access, egresses,
communications, procedures, and emergency and rescue procedures.
The Permit to Work Coordinator will ensure that the permit is held by a competent
person and that the permit is cancelled upon completion.
To ensure work in live area is safe ensure that:
 Work permit have to approve by CM before start the job
 Before enter process area all personnel must be Inducted by COMPANY
 All equipment inspected by COMPANY before it use
 Procedure, lifting calculation and drawing have been approved by COMPANY
17.3 Dissimilar Trades working in live areas
It is recognized that throughout the duration of the project the need will arise
dissimilar trades to work in live or areas of the site undergoing commissioning work.
In this instance PT. AGI PERKASA KONSTRUKSI will ensure that all such work is
carried out and supervised by competent personnel working under the Permit to
Work System. Lines of communication will be established which allow the
managerial, supervisory and operational staff to be made fully aware of the
possible impact of the operating going wrong. The governing criteria and control
requirements will be clearly and unambiguously detailed on the Permit to Work.
The Permit to Work Coordinator will ensure that the permit holders are adequately
advised of the work being carried out by the different trades, in the same
proximity.
18. CONSTRUCTION PLANT, SMALL TOOLS (INCLUDING CARTRIDGE TOOLS) AND
MISCELLANEOUS EQUIPMENT.
The use of all Construction Plant, Small Tools and other miscellaneous equipment is
hazardous and PT. AGI PERKASA KONSTRUKSI will ensure that Plant and Equipment
brought to and use on site is free from defect, has all necessary guards in place and is
safe and fit for its intended purpose.
PT. AGI PERKASA KONSTRUKSI is required to implement documented procedures and
maintain comprehensive records to ensure that:
 All constructions plant used on site shall be registered with the appropriate authority
and that all operations of the site plant hold a license permitting them to operate
that class of item of plant.
 Upon its delivery to site each item of plant shall be inspected by a competent person
to verify that it’s safe for use for its intended purpose.
 Each item of plant will be subject to a regular programmer of preventive
maintenance to ensure that the item remains safe and fit for its intended purpose.
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 The above record will be subject to regular inspection by the HSE Coordinator.
 Safety and Emergency equipment to be used, including breathing apparatus, rescue
harnesses and safety ropes.
18.1 Lifting
ALL LIFTING WILL BE CARRIED OUT USING PURPOSE MADE LIFTING SLINGS, WEB
SLINGS, CHAINS, SHACKLES, RINGS AND HOOKS. NO ROPES WILL BE USED TO LIFT
MATERIALS OR PLANT ON THE SITE.
This will be achieved by ensuring that only qualified and experienced personnel are
engaged in this hazardous activity. Further communication with the site personnel
will be through poster campaigns covering slinging, hoisting and additional
information such as induction training, training in the form demonstration by
qualified personnel and toolbox talks.
Only proprietary lifting shackles web slings ring and hooks will be used on site. All
shackles will clearly show their safe lifting capacity. Rings used from cranes will be
off the factory-manufactured type. No site-welded repair will be permitted. All
hooks used will have spring-loaded plates to secure the ring eye within the hook.
Any hook found to be without such as safety device will be removed from site and
recorded then replaced with a safely configured hook. All hooks will display their
safe working capacity.
ONLY THE MANUFACTURES PIN SHALL BE USED WITH THE SHACKLES USED ON
SITE.
The HSE Coordinator prior to entry usage on site will inspect all the Cranes, Access
Platforms and Hoist.
18.2 Steel Slings
In case of steel sling the type used should be of reputable origin with lead collars
and hard eyes. The Safe Working Load of the sling should be stamped into the lead
collar. A competent person will inspect the sling, at intervals not exceeding one
month. The competent person will inspect the sling for damage. If damage is found,
the sling will be withdrawn form service, made unusable as a lifting as a lifting
device and replaced with a suitable equal replacement. Such visual inspection will
cover, but not be limited to:
 Exposed or damage core. (Steel or Fibber core depending upon the type
used).
 Damage of the eyes.
 Loss of the hard collar.
 Linking at any point along the length of the sling. (Including the area at the
eyes).
 Clear prior over stressing of the sling
 Corrosion of the sling
 All inspection should be recorded
18.3 Storage of Slings, Chains, Shackles and Hooks
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All sling, shackles and hooks will remain in site stores when not in use. Slings will be
stored on custom made racks supporting the sling and shackles off the floor. Steel
slings will be stored the equipment be allowed to become tangled.
Shackles and hooks will separate into specific sizes and working capacities and
stored off the ground on purpose made shelves within the site stores.
All lifting devices, such as steel slings, hooks and shackles will be cleaned, at
intervals not exceeding one month, in order to preserve them in a safe working
order and to ensure longer one site.
All the above will be recorded and shall from a comprehensive record of the lifting
equipment and shall from part of the Quality Management of the entire Project.
18.4 Lifting Operations
PT. AGI PERKASA KONSTRUKSI will ensure that the type of operation will be carried
out by competent, qualified and experience personnel, at all times.
Should any particular lifting operation be considered complex then that lift will be
subject to a specified written procedure or method statement.
Should any complex lifting be carried out by a specialist PT. AGI PERKASA
KONSTRUKSI will provide the Site Manager with the relevant written procedure or
method statement for his command and approval, prior to that lift proceeding one
site.
19. CONTROL OF SUBSTANCES HAZARDOUS TO HEALTH (COSHH)
PT. AGI PERKASA KONSTRUKSI will establish and maintain procedures designed to control
risk arising from handling, storage and use of substances hazardous to health.
The procedures will require the supplier of such substances to provide the relevant
substance hazard information.
PT. AGI PERKASA KONSTRUKSI will appoint a person to supervise and monitor the
implementation of the procedures which will include but not be limited to:
 Establish and inventory of all hazardous substances.
 Maintain a file of relevant supplier hazards data sheets.
 Carry out an assessment of the proposed handling, storage and use of the hazardous
substance and completion of an assessment report detailing the hazards and any
necessary precautions.
 Ensure that the personnel exposed to the hazardous substance are provided with
written health and safety instruction, training where appropriate, Personal
Protective Equipment, and observe all identified precautions.
The HSE Coordinator will monitor to ensure that precautions are implemented.
19.1 Noise
All the PT. AGI PERKASA KONSTRUKSI employees or visitors when working in the
noisy area should wear the ear protection like earmuffs or earplugs and the noisy
sign should be displayed in a noisy area.
19.2 Hygiene
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High standards or personnel hygiene are essential at all times. Living in close
proximity to a large number of other people demands cleanliness in order to
ensure comfort for everyone and to prevent the spread of sickness or disease.
Clothing and footwear standards for recreational areas will be advised on arrival at
the work site. All personnel are expected to comply and wear clean footwear and
clothing where these provisions are requested.
There will be designated smoking areas at each work site. All personnel are
prohibited from smoking in meal areas, accommodation units, and cabins.
All personnel shall have access to cool, portable drinking water, which shall be
supplied on site base on a average of 4 – litters/person/working day.
Designated areas for meal will be provided. The minimum dress standard for
messing is short, thongs and shirt.
19.3 Alcohol and Drugs
PT. AGI PERKASA KONSTRUKSI recognized that alcohol and drugs are potential
safety and health hazard within the workplace and as such it is forbidden for any
person to possess, or be under the influence of alcohol or non prescribed drugs, at
anytime or anywhere on the work site.
Personnel using prescribed medication shall advise their supervisor or medical
officer prior to, or upon arrival on site. PT. AGI PERKASA KONSTRUKSI Alcohol and
Drugs Policy will apply at all sites for the project.
20. FIRE PROTECTION, PREVENTION AND CONTROL
The importance of effective fire protection and precautionary measures is recognized by

PT. AGI PERKASA KONSTRUKSI adopt adequate procedures to prevent the risk of injury,
damage or loss from fire. The procedures will include, but may not be limited to, the
following matters.
20.1 Fire Protection

All working area will be provided with an adequate supply of portable fire
extinguisher located at strategic points. Similar provision will be made at
ACETYLENE and flammable substances storage points.
The fire extinguisher will shall be inspected by a competent person, at interval not
exceeding six moths to determine their continued fitness for use. Any extinguisher
found to be defective or discharge will be withdrawn, immediately, and replaced
by a suitable fully re charges extinguisher. Following the examination, a label will
shall be signed by that competent person carrying out the examination.
Acetylene containers and flammable substances will be stored in suitable

ventilated compounds, out high direct sunlight compounds shall be minimums of
4.0 meters distant from any occupied building and be on level ground free from
vegetation an adequate number of suitable fire extinguishers will be in prominent
positions adjacent or within the Acetylene storage compounds.
PT. AGI PERKASA KONSTRUKSI will ensure that equipment used for gas or electric
burning or welding is properly maintained and that flash back arrestors and non-
return valves are fitted to such equipment.
Document number
CONTRACT NO.:
All office, stores, workshop, welfare accommodation, and other buildings will
display appropriate fire advisory and warning notices in both English and Indonesia.
Such notices displayed where appropriate will include:
 Exit and Evacuation Routes
 Fire Emergency Procedures and Assembly/muster point
 Fire Extinguisher Points
 No smoking / No Naked Light Signs
 Relevant Telephone Numbers for Use in The Event of Emergency
 The Name of relevant Managers and Supervisors to be Contacted
21. STORAGE OF FLAMMABLE LIQUIDS AND SUBSTANCES
All flammable liquids and substances will be stored in suitable containers which are
shaded from direct sunlight.
The storage areas will be on flat ground, clear from vegetation, away from other
flammable substances such as and wherever possible will be within purpose built stores.
Suitable signs will be erected and maintained visible, at all times, advising personnel
adjacent to the liquids and substances of their flammable nature.
All personnel required to handle flammable liquids and substances will be trained in the
use suitable fire extinguishers should a fire occur.
22. SITE OFFICE, STORES, WORKSHOPS AND SHELTERS

PT. AGI PERKASA KONSTRUKSI will ensure that all offices, stores, workshops, shelters are
designed, and utilized in manner which prevents injury, damage or loss.
Lightning protection shall be provided to all such facilities. The electrical installation of
such facilities will be to an approved standard and comply with the PT. AGI PERKASA
KONSTRUKSI policy on electrical installations within temporary site establishments.
All such facilities, regardless of ownership, contain adequate numbers of suitable fire
extinguisher, mounted 0.5 meters above the floor level. Each facility will have its own,
individual, evacuation procedure posted at regular interval throughout. The HSE
Coordinator shall ensure that the facility evacuation procedures remain in clear view to
all and that the information contained therein remind relevant. All facility occupants will
be made aware of the evacuation procedures and the relevant assembly / muster points
for that facility.
All fire exits, designated such by the HSE Coordinator, shall be clearly marked by an A4
sized poster/notice. All fire exits shall remain free from obstructions, at all times. Any
obstructions found shall be removed immediately.
AT NO TIME WILL RUBBISH, REFUSE AND COMBUSTIBLE MATERIALS BE PERMITTED TO

ACCUMULATE WITHIN ANY FACILITY. ALL RUBBISH, REFUSE AND COMBUSTIBLES WILL
BE REMOVED, OFF SITE, TO A DESIGNATED TIPPING AREA.
All passageways shall remain clear from obstructions, at all times, and with adequate
ventilation and lighting provided to prevent injury or damage. Adequate ventilation and
lighting shall be provided throughout all such facilities, on site. At no time will site
personnel be required to work in conditions which any lead to eyestrain or damage.
Document number
CONTRACT NO.:
OPEN BURNING OF, REFUSE AND COMBUSTIBLE GENERATED BY SUCH FACILITIES WILL
NOT BE PERMITTED AT ANY LOCATION ON OR OFF-SITE.
All site Stores and Workshop facilities shall be maintained in a clean safe condition in
order to prevent injury. Any spillage will be cleaned immediately.
All refuse arising from the PT. AGI PERKASA KONSTRUKSI site establishment shall be
contained within suitable containers whilst on site. At no time shall these containers be
allowed to overflow allowing the refuse to build up around the containers. All site refuse,
including office waste, canteen waste and workshop arising shall be removed off-site for
disposal at the Designated PT. AGI PERKASA KONSTRUKSI Refuse tip.
22.1 Stores Facilities
Stores facilities shall be structured in the following manner:
a. Materials, Equipment and Goods Requiring Temperature Control: Storage

of materials and equipment requiring an air-conditioned, temperature
controlled, environment will be stored in air conditioned containers. All
materials stored in this manner will be maintained at the temperature
recommended by the manufacturer of the materials.
b. Material, Equipment and Goods to Be Stored Within A Building In Open
Storage: Such materials, equipment and goods will shall be stored in shelved
units in the normal manner. No moisture affects materials, equipment or
goods will be stored on the floor.
c. Material, Equipment Goods To Be Stored In Ultra Violet Protected
Environment: All materials, equipment and goods in this category may be
stored or out doors but will remain covered and shaded from direct sunlight at
all times.
d. Material, Equipment and Good To Be Open Storage: All material,
equipment and goods in this category will be stored in a secure compound. In
order to prevent damage, the compound will be fenced and lockable.
All cartridge tools and their detonators will be stored within a lockable steel
cabinet within the main stores facility. Such hazardous equipment shall be signed
for when removed for use, on site, and then signed off when returned to the stores.
23. WORKING PATTERNS AND REST PERIODS
PT. AGI PERKASA KONSTRUKSI will ensure that due consideration is given, regarding site
working patterns. This will include, but not be limited to, the following:
 The provision of suitable rest periods to limit the possibility of fatigue and any
subsequent accident situation arising.
 The provision of adequate lighting, supervision, safety and first aid personnel during
shift work, night work or any type of extended hours working.
24. VISITORS
Document number
CONTRACT NO.:
PT. AGI PERKASA KONSTRUKSI will implement arrangements designed to prevent access to
the site by any unauthorized persons and to secure the health and safety of authorized
visitors.
CTR, at its discretion, may eject or refuse entry to the site to any person. No reason will
be provided for such action and the Site Manager’s decision is final.
PT. AGI PERKASA KONSTRUKSI will implement arrangements to ensure that their
respective visitor. To site, are accompanied throughout their visit. All such visitors shall
be equipped with the appropriate Personal Protective Equipment and provided with a
safety briefing to brief the site visitor of the emergency procedures, hazards and
precautions necessary.
25. DISCIPLINARY PROCEDURES
PT. AGI PERKASA KONSTRUKSI shall maintain a consultative approach to discipline as

much as possible. Persons who continually ignore safety rules or procedures or through
deliberate action, place the health and safety of them selves and other at risk may be
subject to disciplinary action including dismissal.
26. MANAGEMENT OF CHANGE MONITORING
Changes to equipment, operating conditions, procedures, personnel, etc., can lead risk
unless the changes are effectively documented, managed and communicated.
The consequence of significant changes must be properly identified, and the
corresponding Risks quantified.
Staff, including temporary, replacement If during the pre-planning phase of operations,
particular tasks are considered “critical” or “Very Serious” (as defined in the Hazard
Identification and Risk Assessment Procedures) a formal documented Hazard
Identification and Risks Analysis id performed.
28. ATTACHMENT
ATTACHMENT A : HSE Policy
ATTACHMENT B : Drugs and Alcohol Policy
ATTACHMENT C : HSE Organization Chart
ATTACHMENT D : Project Organization Chart
ATTACHMENT E : Key Performance Indicator (KPI)
ATTACHMENT F : Safety Talk Schedule
Document number
CONTRACT NO.:
Document number
CONTRACT NO.:
ATTACHMENT A
HSE POLICY
Document number
CONTRACT NO.:
Document number
CONTRACT NO.:
ATTACHMENT B
DRUGS AND ALCOHOL POLICY
Document number
CONTRACT NO.:
Document number
CONTRACT NO.:
ATTACHMENT C
HSE ORGANIZATION CHART
Document number
CONTRACT NO.:
A. HSE ORGANIZATION CHART
PROJECT MANAGER
OLSEN TANGGO ASI
HSE Coordinator
BASO AMIRULAH
HSE Admin
SAFETY SUPERVISOR RIKA RAHIM
HASRAFIL
Document number
CONTRACT NO.:
ATTACHMENT D
PROJECT ORGANIZATION CHART
PT, AGI PERKASA KONSTRUKSI
ORGANIZATION CHART MTI MOROWALI PROJECT
TBA
PM
TBA TBA
TBA TBA TBA TBA TBA
TBA TBA TBA TBA TBA TBA
Jubir HRD TBA QC Piping QC Civil
Material Control Procurement/Finance Project Control Civil Engineer Piping Enginner TBA
ELECTRICAL
HSE
TBA
TBA
TBA
Admin
Logistik
TBA
Construction Manager
TBA
Admin
TBA TBA
Piping Supervisor Civil / Structure SPV
ATTACHMENT E
HSE MATRIX
Document number
CONTRACT NO.:
Document number
CONTRACT NO.:
Document number
CONTRACT NO.:

Hse Plan PT - Apk - Ifa Rev 1 N

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AIM PROJECT

Civil Works, Pipe Rack

HSE MANAGEMENT PLAN

02/02/2023 Approved For

Rev. Status Date Revision memo Issued by Checked by COMPANY Approval

Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :

Contractor Document : PT. AGI PERKASA KONSTRUKSI Page 2 of 42

Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :

Contractor Document : PT. AGI PERKASA KONSTRUKSI Page 3 of 42

Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :

Contractor Document : PT. AGI PERKASA KONSTRUKSI Page 4 of 42

11. INSPECTION, AUDIT AND CORRECTIVE ACTION-----------------------------------------19

Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :

Contractor Document : PT. AGI PERKASA KONSTRUKSI Page 5 of 42

19. CONTROL OF SUBTANCES HAZARDOUS TO HEALTH (COSHH)-----------------------31

Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :

Contractor Document : PT. AGI PERKASA KONSTRUKSI Page 6 of 42

 PT. MERDEKA MINING SERVIS Documents

 PT. AGI PERKASA KONSTRUKSI Documents

4. DEFENITIONS AND ABBREVIATIONS

DANGER. The risk of injury and is the opposite of Safe

Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :

Contractor Document : PT. AGI PERKASA KONSTRUKSI Page 7 of 42

5. PT. AGI PERKASA KONSTRUKSI HSE POLICY STATEMENT

7. PT. AGI PERKASA KONSTRUKSI HSE GOALS

Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :

Contractor Document : PT. AGI PERKASA KONSTRUKSI Page 8 of 42

8. ORGANIZATION AND RESPONSIBILITIES

8.1 HSE Organization Chart (see attachment C)

8.3.2 HSE Coordinator

Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :

Contractor Document : PT. AGI PERKASA KONSTRUKSI Page 9 of 42

8.3.3 HSE ADMIN

8.3.4 HSE SUPERVISOR

8.3.4 All Personnel (Including Short Service Employee, Visitor)

Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :

Contractor Document : PT. AGI PERKASA KONSTRUKSI Page 10 of 42

b. Report any safety hazard within their work area.

9. HSE IMPROVEMENT PLAN

9.1 HSE Activities When Hazard Occurs On Work

9.1.1 Employee Reporting Hazard

9.1.2 HSE Meetings

9.1.2.1 Induction Program (Health and Safety Induction)

Prior to commencing work on site all PT. AGI PERKASA KONSTRUKSI

Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :

Contractor Document : PT. AGI PERKASA KONSTRUKSI Page 11 of 42

shall aim to make project personnel aware of Health and Environmental

9.1.2.1 Tool Box Safety Meetings (Daily)

9.1.2.2 Safety Talk (Weekly)

9.1.2.3 HSE Committee Meeting (Monthly)

The committees consist of both hourly employees and personnel from

9.1.2.4 HSE Meeting Program with Client (Quarterly)

The aim of this meeting is to monitor implementation of program that

Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :

Contractor Document : PT. AGI PERKASA KONSTRUKSI Page 12 of 42

already written or to monitor HSE performance during project execution

9.1.3 Communication of HSE Information

9.1.3.1 A number of means are used to communicate new or changes to HSE

9.1.3.2 Award and Recognition

9.1.3.2.1 PT. AGI PERKASA KONSTRUKSI would implement an employee

9.1.3.2.2 Awards and recognition are administered through an employee

9.2 Evaluation of Project, Work Process and Facilities

9.3 Evaluation of procedure Equipment, Materials and Services